Active NPI
Amy Eilers, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1508098757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2002028527
- Practice address
- 3015 N Ballas Rd
Saint Louis, MO 63131-2329 - Phone
- (314) 996-5669
- NPI assigned
- Aug 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.009659 | IL | |
| Clinical Social Worker | 1041C0700X | 2002028527 | MO | Primary |
Addresses
Primary practice location
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Mailing address
1733 Meadow LN
Edwardsville, IL 62025-3949
Phone (618) 558-4557
Other practice location 1
110 N Elm Ave
Webster Groves, MO 63119-2418
Phone (314) 918-3335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.009659 | IL | MD | Clinical Social Worker |
| 2002028527 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508098757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 MEADOW LN",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620253949",
"telephone_number": "618-558-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 N BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312329",
"telephone_number": "314-996-5669"
}
],
"practiceLocations": [
{
"address_1": "110 N Elm Ave",
"address_purpose": "LOCATION",
"city": "Webster Groves",
"state": "MO",
"postal_code": "631192418",
"country_code": "US",
"telephone_number": "314-918-3335",
"fax_number": "314-918-1521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EILERS",
"first_name": "AMY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.009659",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2002028527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.